{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:38:09Z","timestamp":1786653489150,"version":"build-2736575974"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare visual and refractive outcomes and visual function after bilateral refractive lens exchange (RLE) with a trifocal intraocular lens (IOL) in myopic, hyperopic, and emmetropic eyes with presbyopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective comparative case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Charts of presbyopic patients who underwent RLE with implantation of RayOne Trifocal IOL were retrospectively reviewed. Visual and refractive outcomes were evaluated at 3 months. Patient satisfaction, spectacle independence, and visual disturbance were assessed by patient reported outcomes measures (PROMs) questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 6788 eyes were classified into refractive groups. Mean (\u00b1 standard deviation) visual acuity (logMAR) at 3 months: Group A (emmetropic), binocular uncorrected distance visual acuity (UDVA), 0.01 \u00b1 0.11; monocular corrected distance visual acuity (CDVA), 0.01 \u00b1 0.03; binocular uncorrected near visual acuity (UNVA) at 40 cm, 0.08 \u00b1 0.07; binocular uncorrected intermediate visual acuity (UIVA) at 66 cm, 0.12 \u00b1 0.11; postoperative spherical equivalent (SE) (diopters (D)), -0.05 \u00b1 0.29. Group B (myopic), binocular UDVA, 0.03 \u00b1 0.23; monocular CDVA, 0.01 \u00b1 0.02; binocular UNVA, 0.07 \u00b1 0.07; binocular UIVA, 0.12 \u00b1 0.08; SE, -0.05 \u00b1 0.52. Group C (hyperopic), binocular UDVA, 0.00 \u00b1 0.03; monocular CDVA, 0.01 \u00b1 0.02; binocular UNVA, 0.08 \u00b1 0.07; binocular UIVA, 0.21 \u00b1 0.09; SE, -0.08 \u00b1 0.30. PROMs showed high levels of satisfaction and spectacle independence at all distances with worse results in myopes. Night vision was worse in hyperopes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In this retrospective analysis, RayOne Trifocal provided good visual performance at all distances, resulting in excellent levels of spectacle independence and satisfaction despite the preoperative refraction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_28_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:00:21Z","timestamp":1777564821000},"page":"S33-S39","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Visual outcomes and patient satisfaction in refractive lens exchange with trifocal intraocular lens in presbyopic hyperopia, emmetropia, and myopia"],"prefix":"10.4103","volume":"74","author":[{"given":"Andrea Llovet","family":"Rausell","sequence":"first","affiliation":[{"name":"Department of Cataract and Refractive Surgery, Cl\u00ednica Baviera - AIER Eye Hospital Group, Valencia"},{"name":"Department of Refractive Surgery, Chongqing Eye and Vision Care Hospital - AIER Eye Hospital Group, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio Ortega","family":"Usobiaga","sequence":"additional","affiliation":[{"name":"Department of Cataract and Refractive Surgery, Cl\u00ednica Baviera - AIER Eye Hospital Group, Bilbao, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier L Fern\u00e1ndez","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Cataract and Refractive Surgery, Cl\u00ednica Baviera - AIER Eye Hospital Group, Castell\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime Beltr\u00e1n","family":"Sanz","sequence":"additional","affiliation":[{"name":"Research and Development, Cl\u00ednica Baviera - AIER Eye Hospital Group, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Naval\u00f3n-Tolosa","sequence":"additional","affiliation":[{"name":"Department of Cataract and Refractive Surgery, Cl\u00ednica Baviera - AIER Eye Hospital Group, Valencia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Llovet","family":"Osuna","sequence":"additional","affiliation":[{"name":"Department of Cataract and Refractive Surgery, Cl\u00ednica Baviera - AIER Eye Hospital Group, Valencia"},{"name":"Department of Cataract and Refractive Surgery, Cl\u00ednica Baviera - AIER Eye Hospital Group, Madrid, Spain"},{"name":"Ophthalmology Area, College of Medicine, Cardenal Herrera CEU University, Valencia, 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